Provider Type Icon

INTRALIGN CA PHYSICIAN ASSISTANTS INC NPI 1245411859


NPI Information

NPI: 1245411859
Provider Name: INTRALIGN CA PHYSICIAN ASSISTANTS INC

Former Legal Business Name: JOHN W. COWAN PHYSICIAN ASSISTANT INC

Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
4002 VISTA WAY
OCEANSIDE, CA
ZIP 92056
Phone: (813) 343-5500
Get Directions

INTRALIGN CA PHYSICIAN ASSISTANTS INC is a surgical physician assistant in Oceanside, CA. INTRALIGN CA PHYSICIAN ASSISTANTS INC NPI is 1245411859. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is John W. Cowan Physician Assistant Inc.

The provider's business location address is:

4002 VISTA WAY
OCEANSIDE, CA
ZIP 92056-506
Phone: (813) 343-5500
Fax: (813) 343-5506

The provider's authorized official is Matt Bertsch .
The authorized official title is Cfo and has the following contact phone number (813) 343-5500.

The enumeration date for this NPI number is 11/26/2007 and was last updated on 12/6/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AS0400XPhysician AssistantSurgicalCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.